Medical-Surgical Nursing Exam 1 – Endocrine
System, MEDSURG Exam | Comprehensive Practice
Questions with Answers
Introduction:
This document contains a complete set of Medical-Surgical
Nursing Exam 1 practice questions focused on the endocrine
system, including thyroid, parathyroid, pituitary, adrenal, and
antidiuretic hormone disorders. It features multiple-choice and
select-all-that-apply questions with correct answers covering
conditions such as hypothyroidism, hyperthyroidism, SIADH,
diabetes insipidus, Cushing’s syndrome, Addison’s disease,
acromegaly, and related perioperative nursing care. The
material is well-suited for exam preparation, review sessions,
and reinforcing key nursing concepts in endocrine
pathophysiology, assessment, and interventions.
Exam Questions and Answers:
1. The nurse reviews the dietary history of a patient who is
a vegetarian and suspects which food is the cause of the
patient's goiter.
1. Green beans
2. Lettuce
3. Cucumber
,4. Broccoli---Correct Answer---4. Broccoli
2. Which assessment finding would the nurse expect in a
patient with hypothy- roidism?
1. Diaphoresis
2. Constipation
3. Heat intolerance
4. Palpitations---Correct Answer---2. Constipation
3. The nurse anticipates that a patient with an enlarged
thyroid gland will be diagnosed with which endocrine
disorder?
1. Goiter
2. Fibroma
3. Hypothyroidism
4. Hyperparathyroidism---Correct Answer---1. Goiter
4. Which condition is is associated with distant heart
sounds.
1. Hyperthyroidism
2. Hypothyroidism
3. Thyroid cancer
4. SIADH---Correct Answer---2. Hypothyroidism
,5. The nurse recognizes which type of goiter in a patient
whose assessment findings include a diffuse enlargement of
the thyroid gland, normal thyroid
levels, and no significant medical history?
1. Nodular
2. Nontoxic
3. Toxic nodular
4. Multinodular---Correct Answer---2. Nontoxic
6. The nurse would assess which parameter before giving
levothyroxine for the first time to a patient newly diagnosed
with hypothyroidism?
1. Heart rate
2. Intake and output
3. Temperature
4. Blood pressure---Correct Answer---1. Heart rate
7. Which information would the nurse include in the
teaching plan for a patient scheduled for a total thyroidectomy
about recovery after the procedure?
1. Exercise will be restricted for up to six months.
2. Physical therapy will need to be continued.
3. A low- or no-sodium diet will be prescribed.
, 4. Lifelong hormone replacement will be needed.---Correct
Answer---4. Lifelong hormone replacement will be needed.
8. Which type of thyroid cancer is the least likely to respond
to treatment and has the poorest prognosis?
1. Papillary
2. Follicular
3. Anaplastic
4. Medullary---Correct Answer---3. Anaplastic
9. Which rationale would the nurse give when a nursing
student asks why enemas are contraindicated in patients with
hypothyroidism and coronary artery disease (CAD)?
1. To avoid vagus nerve stimulation
2. To avoid olfactory nerve stimulation
3. To avoid abducens nerve stimulation
4. To avoid hypoglossal nerve stimulation---Correct Answer-
--1. To avoid vagus nerve stimulation
10. To promote optimal absorption of the medication, the
nurse would recom- mend for a patient to take levothyroxine
at which time of the day?
1. In the morning before breakfast
2. In the morning with food
3. During the late afternoon before dinner
System, MEDSURG Exam | Comprehensive Practice
Questions with Answers
Introduction:
This document contains a complete set of Medical-Surgical
Nursing Exam 1 practice questions focused on the endocrine
system, including thyroid, parathyroid, pituitary, adrenal, and
antidiuretic hormone disorders. It features multiple-choice and
select-all-that-apply questions with correct answers covering
conditions such as hypothyroidism, hyperthyroidism, SIADH,
diabetes insipidus, Cushing’s syndrome, Addison’s disease,
acromegaly, and related perioperative nursing care. The
material is well-suited for exam preparation, review sessions,
and reinforcing key nursing concepts in endocrine
pathophysiology, assessment, and interventions.
Exam Questions and Answers:
1. The nurse reviews the dietary history of a patient who is
a vegetarian and suspects which food is the cause of the
patient's goiter.
1. Green beans
2. Lettuce
3. Cucumber
,4. Broccoli---Correct Answer---4. Broccoli
2. Which assessment finding would the nurse expect in a
patient with hypothy- roidism?
1. Diaphoresis
2. Constipation
3. Heat intolerance
4. Palpitations---Correct Answer---2. Constipation
3. The nurse anticipates that a patient with an enlarged
thyroid gland will be diagnosed with which endocrine
disorder?
1. Goiter
2. Fibroma
3. Hypothyroidism
4. Hyperparathyroidism---Correct Answer---1. Goiter
4. Which condition is is associated with distant heart
sounds.
1. Hyperthyroidism
2. Hypothyroidism
3. Thyroid cancer
4. SIADH---Correct Answer---2. Hypothyroidism
,5. The nurse recognizes which type of goiter in a patient
whose assessment findings include a diffuse enlargement of
the thyroid gland, normal thyroid
levels, and no significant medical history?
1. Nodular
2. Nontoxic
3. Toxic nodular
4. Multinodular---Correct Answer---2. Nontoxic
6. The nurse would assess which parameter before giving
levothyroxine for the first time to a patient newly diagnosed
with hypothyroidism?
1. Heart rate
2. Intake and output
3. Temperature
4. Blood pressure---Correct Answer---1. Heart rate
7. Which information would the nurse include in the
teaching plan for a patient scheduled for a total thyroidectomy
about recovery after the procedure?
1. Exercise will be restricted for up to six months.
2. Physical therapy will need to be continued.
3. A low- or no-sodium diet will be prescribed.
, 4. Lifelong hormone replacement will be needed.---Correct
Answer---4. Lifelong hormone replacement will be needed.
8. Which type of thyroid cancer is the least likely to respond
to treatment and has the poorest prognosis?
1. Papillary
2. Follicular
3. Anaplastic
4. Medullary---Correct Answer---3. Anaplastic
9. Which rationale would the nurse give when a nursing
student asks why enemas are contraindicated in patients with
hypothyroidism and coronary artery disease (CAD)?
1. To avoid vagus nerve stimulation
2. To avoid olfactory nerve stimulation
3. To avoid abducens nerve stimulation
4. To avoid hypoglossal nerve stimulation---Correct Answer-
--1. To avoid vagus nerve stimulation
10. To promote optimal absorption of the medication, the
nurse would recom- mend for a patient to take levothyroxine
at which time of the day?
1. In the morning before breakfast
2. In the morning with food
3. During the late afternoon before dinner
